JOANNA WALLING MFTI
NPI 1962802504
Marriage & Family Therapist in Culver City, CA

Q: What is Joanna Walling's NPI number?

The NPI number for Joanna Walling is 1962802504. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Q: What is Joanna Walling's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Joanna Walling enrolled in Medicare?

No. Joanna Walling has opted out of Medicare through February 21, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Joanna Walling was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2014Opted out of Medicare · through Feb 21, 2028

4760 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 390-6612(310) 398-5690 Get Directions Write a Review

NPPES record last updated: September 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Joanna Walling Mfti NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOANNA WALLING MFTI (NPI 1962802504) is an individual marriage & family therapist in Culver City, California, licensed in California (IMF80439) and active in the NPI registry since September 2014. She has opted out of Medicare through February 21, 2028.

NPPES Registry Identity

NPI1962802504

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJOANNA WALLINGCredential: MFTI

Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820

Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690

Phone(310) 390-6612

Fax(310) 398-5690

Sole ProprietorNo

Enumeration DateSeptember 2, 2014

✔ NPI 1962802504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · IMF80439

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

4760 SEPULVEDA BLVD, Culver City, CA 90230

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Joanna Walling Mfti has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 21, 2024 through February 21, 2028.

Opt-Out Effective DateFebruary 21, 2024

Opt-Out In Effect ThroughFebruary 21, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERONICA FUENTES

Case Manager/Care Coordinator